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Lehope Care Limited, a small domiciliary care agency, received an overall rating of Good at its first inspection, with four of five key questions rated Good and Well-led rated Requires Improvement. Key concerns centred on failure to report a safeguarding incident to the local authority and CQC, gaps in care plan auditing and record-keeping, an undocumented best interest decision regarding medicines storage, and insufficient governance structures including no call monitoring or contingency planning.